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Organization

ADVANTAGE PSYCHIATRIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA LYNN PIXTON LCPC (CHIEF EXECUTIVE OFFICER)
(410) 686-3629
Entity
Organization

Contact information

Practice address
5024 CAMPBELL BLVD, SUITE A, NOTTINGHAM, MD 21236-5974
(410) 686-3629
(410) 780-7178
Mailing address
5024 CAMPBELL BLVD, SUITE A, NOTTINGHAM, MD 21236-5974
(410) 686-3629
(410) 780-7178

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4607
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4607
MD
Enumeration date
11/07/2013
Last updated
07/27/2021
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